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Contact Information

PEGGY P DEMIKIS, PHYSICIAN ASSISTANT
ONE INGALLS DR
W536
HARVEY, IL60426
 Phone: 708-915-6870
 Fax: 708-333-9105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PEGGY P DEMIKIS · (Female)

NPI Number 1508962838
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 09/15/2006
Last updated 03/31/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085000466
  • IL Medicaid L67625
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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